早产儿视网膜病变：婴儿潮一代（1946 - 1964年）的晚期并发症
Retinopathy of prematurity: late complications in the baby boomer generation (1946-1964).
作者信息
Smith Bradley T, Tasman William S
机构信息
Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
出版信息
Trans Am Ophthalmol Soc. 2005;103:225-34; discussion 234-6.
Abstract
PURPOSE
To report the natural history and late complications of retinopathy of prematurity (ROP) in members of the baby boomer generation (1946-1964).
METHODS
Retrospective observational series of 86 eyes from 47 adult ROP patients (aged 45 to 56 years) who did not receive treatment as infants. Posterior segment pathology, refractive status, lens status, and visual acuity were evaluated.
RESULTS
Seventy-six eyes (88.4%) had posterior segment pathology due to ROP, including 22 (25.6%) with retinal detachments. The rates of myopia and cataract formation were 90.7% and 83.7%, respectively. Visual acuity was 20/200 or worse in 43 eyes (51.2%) and 20/60 or better in 35 (41.7%).
CONCLUSIONS
There are significant late complications of ROP underscoring the importance of lifelong follow-up.
摘要
目的
报告婴儿潮一代（1946 - 1964年）早产儿视网膜病变（ROP）的自然病史及晚期并发症。
方法
对47例成年ROP患者（年龄45至56岁）的86只眼进行回顾性观察系列研究，这些患者婴儿期未接受治疗。评估了眼后段病理、屈光状态、晶状体状态及视力。
结果
76只眼（88.4%）因ROP出现眼后段病理改变，其中22只眼（25.6%）发生视网膜脱离。近视和白内障形成率分别为90.7%和83.7%。43只眼（51.2%）视力为20/200或更差，35只眼（41.7%）视力为20/60或更好。
结论
ROP存在显著的晚期并发症，强调了终身随访的重要性。
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